Lisa J Dulcet, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006380A Issued in IN

Practice address

150 W Angela Blvd
South Bend, IN 46617-1101

Phone

(574) 232-5065

NPI assigned

Jul 28, 2009

Last updated

Oct 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cass County Community Mental Health Services

  dba Woodlands Behavioral Healthcare Network

  • Community/Behavioral Health Agency
  • Cassopolis, MI
  • NPI 1659375293

  Clinical

  NPD
• Intercare Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Bangor, MI
  • NPI 1326058512
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1760613681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W ANGELA BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171101",
            "telephone_number": "574-232-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W ANGELA BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171101",
            "telephone_number": "574-232-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULCET",
        "first_name": "LISA",
        "middle_name": "J",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006380A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Duchac Siciliano
• Amanda Jane Duddleson, MSW, LSW
• Randell Scott Dudley
• Jennifer Marie Duell, MA,LMHC
• Tamara Dujardin, COTA
• Amanda R Duley
• Joyce Vestal Dunfee, PHD
• Dungarvin Indiana, LLC
• Courtney Dunlap, CRNA
• Monica A. Dunlap, MD

• Clinical Social Worker in South Bend, IN
• Providers in South Bend, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.